Shopko Stores Operating Co. LLC

Shopko Stores Operating Co. LLC was paid $28K by Medicaid between Jan 2018 and Apr 2019, across 9 billing codes. Its largest line is V2020, Frames, purchases — 38% of everything it billed.

33Billing provider infoSHOPKO STORES OPERATING CO. LLC
SAINT CLOUD, MN 56304

33aNPI1063465789assigned 05/17/2006

33bProvider typeEyewear Supplier

28Total paid$28K

24GClaims3,536

24DCodes billed9

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Eyewear Supplier providers in Minnesota

Rank by total paid#49 of 90

Median peer was paid$43K

This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BETTIGA, MICHAEL controls 20+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	2,935	$16K
2019	601	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2020	Frames, purchases	38%	943	849	$11K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	24%	702	628	$7K
92340	Fitting of spectacles, except for aphakia; monofocal	12%	447	401	$3K
92015	Determination of refractive state	9.0%	667	622	$3K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.8%	255	241	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	4.2%	154	137	$1K
92370		2.7%	185	167	$781.11
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1.5%	26	24	$413.76
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	157	136	$207.95

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES)

Same official

Other billing entities under BETTIGA, MICHAEL

Full network →

Provider	Location	Paid
Shopko Stores Operating Co. LLC	Bellevue, NE	$466K
Shopko Stores Operating Co. LLC	North Platte, NE	$305K
Shopko Stores Operating Co. LLC	Lincoln, NE	$254K
Shopko Stores Operating Co. LLC	Omaha, NE	$225K
Shopko Stores Operating Co. LLC	Lincoln, NE	$167K
Shopko Stores Operating Co. LLC	Twin Falls, ID	$97K
Shopko Stores Operating Co. LLC	Lincoln, NE	$91K
Shopko Stores Operating Co. LLC	Saint Cloud, MN	$57K
Shopko Stores Operating Co. LLC	Lincoln, NE	$56K
Shopko Stores Operating Co. LLC	Racine, WI	$51K
Shopko Stores Operating Co. LLC	Grand Island, NE	$47K
Shopko Stores Operating Co LLC	Salem, OR	$46K
Shopko Stores Operating Co. LLC	Marshfield, WI	$43K
Shopko Stores Operating Co. LLC	Eau Claire, WI	$33K
Shopko Stores Operating Co. LLC	Beaver Dam, WI	$29K
Shopko Stores Operating Co. LLC	Norfolk, NE	$26K
Shopko Stores Operating Co. LLC	Green Bay, WI	$23K
Shopko Stores Operating Co. LLC	Boise, ID	$18K
Shopko Stores Operating Co. LLC	Monona, WI	$18K
Shopko Stores Operating Co. LLC	Worthington, MN	$13K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.